Evolution Hypnotherapy Services LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

EVOLUTION HYPNOTHERAPY SERVICES LLC

Practice address

1537 Monroe St Ste 400
Dearborn, MI 48124-2842

Phone

(313) 898-1777

NPI assigned

Feb 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kelly Vaseau Sleiman, MSW

Title

Client Liaison

Phone

(313) 829-8411

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1922706290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 MONROE ST STE 400",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242842",
            "telephone_number": "313-898-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 MONROE ST STE 400",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242842",
            "telephone_number": "313-898-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2314 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481243010",
            "country_code": "US",
            "telephone_number": "313-898-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLUTION HYPNOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SLEIMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "VASEAU",
        "authorized_official_title_or_position": "CLIENT LIAISON",
        "authorized_official_telephone_number": "313-829-8411",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Dearborn, MI
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• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.